Bile leakage after loop closure vs clip closure of the cystic duct during laparoscopic cholecystectomy:A retrospective analysis of a prospective cohort

Aafke H van Dijk; Bert van Ramshorst; Djamila Boerma; Emile A Clous; Lea M Dijksman; Marja A Boermeester; Sandra C Donkervoort

文献导航

搜索文章

搜索思路

钛学术文献服务平台 \
学术期刊 \
医药卫生期刊 \
外科学期刊 \
世界胃肠外科杂志：英文版（电子版）期刊 \
Bile leakage after loop closure vs clip closure of the cystic duct during laparoscopic cholecystectomy:A retrospective analysis of a prospective cohort

Bile leakage after loop closure vs clip closure of the cystic duct during laparoscopic cholecystectomy:A retrospective analysis of a prospective cohort

作者：

Aafke H van Dijk Bert van Ramshorst Djamila Boerma Emile A Clous Lea M Dijksman Marja A Boermeester Sandra C Donkervoort

基本信息来源于合作网站，原文需代理用户跳转至来源网站获取

Laparoscopic

CHOLECYSTECTOMY

CYSTIC

duct

OCCLUSION

BILE

leak

Endo-loop

摘要：

BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most frequently performed surgical procedures.Cystic stump leakage is an underestimated,potentially life threatening complication that occurs in 1%-6%of the patients.With a secure cystic duct occlusion technique during LC,bile leakage becomes a preventable complication.AIM To investigate the effect of polydioxanone(PDS)loop closure of the cystic duct on bile leakage rate in LC patients.METHODS In this retrospective analysis of a prospective cohort,the effect of PDS loop closure of the cystic duct on bile leakage complication was compared to patients with conventional clip closure.Logistic regression analysis was used to develop a risk score to identify bile leakage risk.Leakage rate was assessed for categories of patients with increasing levels of bile leakage risk.RESULTS Of the 4359 patients who underwent LC,136(3%)underwent cystic duct closure by a PDS loop.Preoperatively,loop closure patients had significantly more complicated biliary disease compared to the clipped closure patients.In the loop closure cohort,zero(0%)bile leakage occurred compared to 59 of 4223(1.4%)clip closure patients.For patients at increased bile leakage risk(risk score≥1)rates were 1.6%and up to 13%(4/30)for clip closure patients with a risk score≥4.This risk increase paralleled a stepwise increase of actual bile leakage complication for clip closure patients,which was not observed for loop closure patients.CONCLUSION Cystic duct closure with a PDS loop during LC may reduce bile leakage in patients at increased risk for bile leakage.

内容分析

关键词云

关键词热度

相关文献

推荐文献

根据相关规定，获取原文需跳转至原文服务方进行注册认证身份信息

完成下面三个步骤操作后即可获取文献，阅读后请点击下方页面【继续获取】按钮

钛学术文献服务平台

学术出版新技术应用与公共服务实验室出品

原文合作方

获取文献流程

1.访问原文合作方请等待几秒系统会自动跳转至登录页，首次访问请先注册账号，填写基本信息后，点击【注册】

2.注册后进行实名认证，实名认证成功后点击【返回】

3.检查邮箱地址是否正确，若错误或未填写请填写正确邮箱地址，点击【确认支付】完成获取，文献将在1小时内发送至您的邮箱

*若已注册过原文合作方账号的用户，可跳过上述操作，直接登录后获取原文即可

点击【获取原文】按钮，跳转至合作网站。

首次获取需要在合作网站进行注册。

注册并实名认证，认证后点击【返回】按钮。

确认邮箱信息，点击【确认支付】，订单将在一小时内发送至您的邮箱。

* 若已经注册过合作网站账号，请忽略第二、三步，直接登录即可。

期刊分类
期刊（年）
期刊（期）
期刊推荐

中国医学临床医学五官科学内科学医疗保健医药卫生总论基础医学外科学大学学报妇产科学与儿科学特种医学皮肤病学与性病学神经病学与精神病学肿瘤学药学预防医学与卫生学

世界胃肠外科杂志：英文版（电子版）2021 世界胃肠外科杂志：英文版（电子版）2020

按字母查找期刊：

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
其他

联系合作广告推广: shenyukuan@paperpass.com

篇名	Bile leakage after loop closure vs clip closure of the cystic duct during laparoscopic cholecystectomy:A retrospective analysis of a prospective cohort
来源期刊	世界胃肠外科杂志:英文版(电子版)	学科	医学
关键词	Laparoscopic CHOLECYSTECTOMY CYSTIC duct OCCLUSION BILE leak Endo-loop
年，卷（期）	2020,（1）	所属期刊栏目
研究方向		页码范围	9-16
页数	8页	分类号	R57
字数		语种
DOI